Latest Inspection
This is the latest available inspection report for this service, carried out on 20th April 2009. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Woodlands.
What the care home does well Fresh fruit was available to people in the dining room. Records showed that people have been seen by their GP for such as coughs and colds. What the care home could do better: Issues highlighted throughout this report demonstrate that the management need to take urgent and prompt action to protect the health safety and welfare of the remaining people living at the home. The key issues include:Lack of appropriate staffing Lack of protection of the rights and dignity of people living at the home. Lack of safety within the home. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Woodlands 7 Nostell Lane Ryhill Wakefield West Yorks WF4 2DB two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gillian Walsh Date: 2 0 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Woodlands 7 Nostell Lane Ryhill Wakefield West Yorks WF4 2DB 01226722652 01226722652 woodlands.residentialhome@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Woodlands Residential Homes Ltd care home 19 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 19 The maximum number of service users who can be accommodated is: 19 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 19 Date of last inspection Brief description of the care home Woodlands Residential Home is registered to provide care for 19 adults under 65 years with a learning disability, with a variation to provide care for three adults with a learning disability who are over the age of 65 years. The homes registration consists of one main house offering 16 places including four shared rooms and the remainder of bedrooms providing single accommodation plus a bungalow with three single rooms. Woodlands is situated close to the centre of Ryhill where there are shops, pubs, clubs,
Care Homes for Adults (18-65 years) Page 2 of 12 Brief description of the care home churches and a small library. The home is set back from the main road within a walled garden with lovely views over Wintersett Nature Reserve. Woodlands provides comfortable accommodation, particularly in the communal areas which are furnished in keeping with the age and style of the property. The bungalow accommodation is also comfortable and offers people a degree of independence whilst being supported from the main house. Most people who live at the home attend the homes day workshop, which is within a very short walking distance from Woodlands. Others undertake other activities including paid work in the home and voluntary work. The home manager said, on 9 March 2009, that the current weekly fees for the home range from £403 to £935.14 (the higher figure being for a person assessed as requiring extra care). Extra charges are made for hairdressing, newspapers, homeopathy, trips out and other incidentals. Information about the home is made available to people through the Statement of Purpose and Service User Guide, both available on request at the home. Care Homes for Adults (18-65 years) Page 3 of 12 What we found:
Since the last inspection a solicitor has been appointed to act on behalf of a number of the people living at the home. The registered person said that she had contacted the solicitor at the request of these people. It is of concern that there are no records in the care home to demonstrate that appropriate consultation took place with advocates and representatives of people living in the home before a Solicitor was instructed to represent their interests. Whilst Solicitors act only in accordance with strict rules relating to client care, Mental capacity assessments have not yet taken place for all people living at the home. Because of this, it is possible that some of the people seen by the Solicitor may not have fully appreciated the situation. It may have been easier for people living at the home to make an informed choice about the instruction of a Solicitor had their usual advocates and representatives assisted them in this process. Staff reported that people now had a much better choice of meals and that portion sizes are no longer being restricted, they also reported that meals were now being served on full sized dinner plates. One person has recently been seen by the dietician who recommended that their diet be fortified with such as butter, cream and creme fraiche. However staff spoken with were unclear about fortified diets but did say that this person was now having full fat milk. The inspectors observed that this person was eating a low fat yoghurt which staff said was usual for this person. The registered person showed the inspector some small pots of fromage frais which were in the fridge and said that these should have been given to the person concerned. Long life fully skimmed milk was still being used for the other people who live at the home. The inspectors found that the majority of out of date food had been removed from the home. However they identified a found a box in one of the freezers that was labeled birthday cakes frozen 28.1.08. Inspectors were unable to free the box as it had become fixed with ice to the bottom and side of the freezer. The registered person said that sweets and treats are available to people when they want them and that the sweet machine in the hallway was not currently in use. Some pieces of Easter egg were seen but the only biscuits seen were frozen and therefore not readily available to eat. Fresh fruit was available in the dining room. Since the last inspection, a letter written to the directors of the home by a person living at the home has been placed on public view within the local area. Copies of this letter have also been provided to members of the local community. Care Homes for Adults (18-65 years) Page 4 of 12 This was a private letter which did not contain any indication that it should be shared with the general public. Complimentary remedies prescribed by a homeopath were still in use at the home. No evidence was seen to demonstrate that the people living at the home have consented to pay for the services of a homeopath. The use of over the counter supplements had continued. Again the inspectors could find no evidence to demonstrate that the people receiving and paying for these supplements have consented to do this. Since the last inspection the Commission has been informed by professionals involved in the care of people living at the home, of people who have expressed their concerns about the home to the management but have not felt that their concerns have been dealt with appropriately. A director of the company informed the Commission on 25 March 2009, in writing, that arrangements would be made for all staff to receive external training in adult protection and whistleblowing. However the registered person told inspectors that this had not yet been arranged. One of the directors of the company had also informed the Commission on 25 March 2009 that all the radiators in the ground floor corridors and main entrance are guarded and were on the day of the inspection They went on to say that one radiator in the dining room and one in the sitting room were unguarded but that this would be done. However inspectors found 5 unguarded radiators in the lounges and dining room. Also, that on the corridors, only the very top of the radiators were guarded by a small shelf. This is not sufficient to prevent people from burning themselves. Again on 25 March 2009, a director of the company informed the Commission that they would look into the possibility of taking on agency staff to do waking night shifts. The registered person said that this had not happened. Staff rotas showed that staff are continuing to do sleeping night shifts and are then working the day shift the next day. The inspectors found evidence within care records which demonstrated that the person on the sleeping night shift are attending to people during the night and are therefore not getting a full nights sleep. What the care home does well: What they could do better:
Issues highlighted throughout this report demonstrate that the management need to take urgent and prompt action to protect the health safety and welfare of the remaining people living at the home. The key issues include:
Care Homes for Adults (18-65 years) Page 5 of 12 Lack of appropriate staffing Lack of protection of the rights and dignity of people living at the home. Lack of safety within the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 12 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 12 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 12 People living at the home 29/05/2009 must be supported and enabled to make decisions about their lives, their health and welfare and their lifestyles. Previous timescale of 17/04/09 not met. To make sure that people have choice and self determination. 2 17 16 People must receive nutritious diets suited to their personla needs and tastes. Requirement amended from previous report. So that people get the diet they need. 29/05/2009 3 20 13 procedures must be put in place to ensure that each persons needs and choices concerning medication (including complimentary remedies and dietary 29/05/2009 Care Homes for Adults (18-65 years) Page 8 of 12 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action supplements) are ascertained and taken into account through formal assessment and regular review by a healthcare professional. Previous timescale of 17/04/09 not met. To make sure that people are only given products they need to improve or maintain their health and well-being. 4 23 13 arrangements must be put in 29/05/2009 place to make sure that people living at the home are protected from abuse. Previous timescale of 17/04/09 not met. To protect people. 5 32 12 All staff must respect the 29/05/2009 wishes and feelings of people living at the home. Previous timescale of 17/04/09 not met. To make sure that staff respect the people in their care. 6 33 18 The registered person must 29/05/2009 make sure that at all times there are suitably trained staff available in sufficient numbers to meet the needs of people living at the home. Previous timescale of
Care Homes for Adults (18-65 years) Page 9 of 12 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 17/04/09 not met. To make sure that people get the care they need. 7 35 18 The registered person must make sure that all staff receive training appropriate to their work. This must include safeguarding and abuse training. Previous timescale of 17/04/09 not met. To protect people living at the home. 8 38 24 The registered person must 29/05/2009 make sure that the views of people living at the home are protected. Previous timescale of 17/04/09 not met. To ensure an inclusive atmosphere 9 42 12 The registered person must make arrangements to ensure the health and welfare of the people who live there. Previous timescale of 17/04/09 not met. To keep people safe 29/05/2009 29/05/2009 Care Homes for Adults (18-65 years) Page 10 of 12 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 11 of 12 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 12 of 12 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
